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Biomedical subjects

R Salm

Publications and source records attributed to R Salm.

At least 55 records · Page 3Linked to original sources
PubMed1988

Endoscopic percutaneous cecostomy (EPC).

Endoscopic decompression of the distended colon has become a useful method of treating non-obstructive colonic ileus. We propose a method of establishing a cecal fistula by means of percutaneous puncture of the colon and pull-through of a Pezzer catheter. Although until now we have only performed this procedure twice, it seems to be a valuable therapeutic approach in cases of paralytic distension of the large bowel.

Aged↗
PubMed1988

[The value of ultrasound diagnosis in blunt abdominal and thoracic injuries].

In a prospective study, real-time ultrasonography was applied as the initial imaging procedure in 103 consecutive patients with blunt abdominal or thoracic trauma. Additional peritoneal lavage was not performed. Pathological findings were present in 22 patients (21%). Sensitivity of the examination was 95.5%, with two false positive results, specificity was 97.5% with one false negative result. Lesions of intraabdominal or thoracic organs were demonstrated directly by ultrasonography in 14 patients. In the remaining patients free fluid was discovered in the abdominal cavity. Splenic and hepatic lesions occurred most frequently followed by hematothorax. Ultrasonography can be recommended as the initial imaging procedure, giving a high amount of information in the primary diagnosis of blunt abdominal thoracic trauma.

Abdominal Injuries↗
PubMed1988

[Posthepatic jaundice caused by abnormalities of the pancreaticobile duct system in early childhood].

Anomalies of the pancreatico-biliary tract present the most frequent cause of posthepatic cholestasis in the young child, whereas calculous disease or infections or compression by vascular abnormalities or neoplasms are less frequent. Generally, abdominal pain and jaundice begin acutely and increase following progressive biliary congestion. The preoperative diagnosis by ERCP or PTC or the intraoperative diagnosis of a relevant pancreaticobiliary anomaly stress the necessity of an operative management performing a bypass of the Sphincter Oddi and of the site of the anomaly. Local operative revision alone seems to be associated with a frequent relapse of cholestasis.

Biliary Atresia↗
PubMed1988

[A new Y-endoprosthesis for drainage of bile duct obstruction of the hepatic bifurcation].

Biliary decompression in cases of central tumorous biliary obstruction requires surgical or internal/external catheter bypass techniques. The development of a 14-F Y-shaped-polyurethane endoprosthesis stent provides the possibility to drain the left and right biliary system simultaneously. The endoprosthesis is placed by a combination of external transhepatic and endoscopic approach. The tip of the singular choledochal stent segment is placed within the choledochus or duodenum.

Cholestasis, Intrahepatic↗
PubMed1987

[Percutaneous transhepatic cholangioscopy. A new method for the diagnosis of bile duct malignancies].

Percutaneous transhepatic cholangioscopy combines the advantages of endoscopic and radiological examinations. It makes it possible to assess the intraluminal spread of bile duct disease as well as histological and cytological examination of biopsies obtained under vision. Eight PTCs were performed without complication in seven patients with cancer of the bile duct. In four, the histology and extent of the tumour was defined endoscopically before any surgical intervention. In three others the results of treatment were objectified. A flexible choledochoscope, as used intraoperatively, was employed (CHF-P10). A stepwise dilatation of the percutaneous access-route was undertaken in several sessions in order to avoid bleeding complications. The procedure is done without general anaesthesia.

Adenocarcinoma↗
PubMed1987

[Percutaneous transhepatic cholangioscopy. A new approach to the diagnosis of bile duct tumors].

New surgical and radiotherapeutic regimens for the treatment of carcinoma of the bile ducts require histologic diagnosis as well as diagnostic delineation of the tumor. Percutaneous transhepatic cholangioscopy fulfils these requirements. This technique combines the advantages of radiological and endoscopic diagnostic procedures in the biliary tract. Cholangioscopy has been performed successfully in four patients with malignant tumors of the bile ducts and we did not observe any complications.

Adenocarcinoma↗
PubMed1986

Non-surgical biliary drainage: endoscopic conversion of percutaneous transhepatic into endoprosthetic drainage.

Percutaneous transhepatic drainage (PTD) is associated with many long-term complications. Therefore a large-diameter endoscopic endoprosthesis is preferentially employed to bridge a malignant obstruction of the biliary tract. Only if the placement of an endoprosthesis fails, must PTD be established. We present a simple method for converting PTD into a large endoprosthesis (14 F) with the aid of endoscopy. We have performed this conversion successfully in 8 patients without complications.

Biliary Tract Neoplasms↗
PubMed1986

[Clear text-oriented documentation in hand surgery--integrated in the medical routine documentation service].

For reasons of contents and economy, the construction of medical documentation should be integrated into the secretary's routine work. An efficient and inexpensive microcomputer is able to facilitate and accelerate the typing work of a hand surgical section by the use of a modern data processing system. At the same time important data can be stored for documentation without being coded and with hardly any additional effort. The dates can be analysed according to different criteria (e.g. statistics of diagnosis/therapy, the recall of data of patients with certain diagnosis, yearly statistics and so on). Knowledge of data processing is not necessary.

Computers↗
PubMed1985

Myxoid leiomyosarcoma.

A series of 13 myxoid leiomyosarcomas (LS) is presented. Seven were from genital and six from extragenital sites and most tumours were large. The myxoid matrix in some tumours separated individual tumour cells; occasionally the myxoid areas were trabecular in shape, resulting in a plexiform tumour pattern; in other tumours there were many closely spaced small mucoid pools which produced a pseudoglandular pattern; in one tumour the pools were large and confluent, and macroscopically evident as gelatinous areas. Four patients who were followed up and whose tumours had shown an absent or very low mitotic rate, nevertheless developed recurrences or metastases; hence a low mitotic count was an unreliable prognostic criterion. The myxoid LS studied did not differ in clinical behaviour and prognosis from the more common solid counterparts. Myxoid LS should be included in the differential diagnosis of any myxoid malignant soft tissue tumour.

Adult↗
PubMed1985

Verruciform xanthoma of the skin.

A case of verruciform xanthoma is described, representing the fourth case of an extraoral lesion and the first case of xanthoma of this type to involve the true skin. The differential diagnosis from other types of xanthoma, and from granular cell tumour, verrucous carcinoma and other lesions is discussed. This lesion is well known to oral pathologists but deserves wider recognition by histopathologists in general.

Diagnosis, Differential↗